Individual provider Active NPI

Julie Gram, DPT

  • Physical Therapist
  • Saline, MI
National Provider Identifier
1801317557
Registry record updated Jul 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501018215 Issued in MI
Practice address
984 E Michigan Ave
Saline, MI 48176-1586
Phone
(734) 316-2903
NPI assigned
Jul 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501018215 MI Primary

Addresses

Primary practice location

984 E Michigan Ave
Saline, MI 48176-1586

Mailing address

525 Main St
Dundee, MI 48131-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170721001076 MI Practitioner - Physical Therapist in Private Practice 7012287154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Probility Therapy ServicesGroup PAC ID 6305897414, 106 clinicians

Practice addresses (Care Compare)

3145 W Clark Rd
Suite 102
Ypsilanti, MI 48197-1120
Phone 73471277022

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Probility Therapy Services Physical Therapist CurrentSince Jul 10, 2017 Accepting new patients
Probility Therapy Services CurrentSince Jul 10, 2017 Accepting new patients

Locations

984 E Michigan Ave
Saline, MI 48176
Phone (734) 316-2903

3145 W Clark Rd
Ste 106
Ypsilanti, MI 48197
Phone (734) 528-9760

3145 W Clark Rd
Ste 102
Ypsilanti, MI 48197
Phone (734) 528-9760

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499040000000",
    "number": "1801317557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 MAIN ST",
            "city": "DUNDEE",
            "state": "MI",
            "postal_code": "481311207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "984 E MICHIGAN AVE",
            "city": "SALINE",
            "state": "MI",
            "postal_code": "481761586",
            "telephone_number": "734-316-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAM",
        "first_name": "JULIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-03",
        "last_updated": "2017-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501018215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saline, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.